Avir At River Valley
1907 Refinery Rd, Gainesville, TX, 76240
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Avir Health Group
- Certified beds
- 116 · avg 37 residents/day
- Total nursing staff turnover
- 52% — near the Texas averageTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Medicare certification
- CMS Certification Number
- 455970
- Certified beds
- 116 beds · avg 37 residents/day
- Ownership type
- Government - Hospital district
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Dallas County Hospital District
- Chain affiliation
- Avir Health Group
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Avir Health Group chain — 117 facilities. Chain-wide average overall rating 2.2 / 5.
Disclosed owners (13 on record)
- Ron Hatton
Adp of The Snf · since 2025
- Edmundo Castaneda
Corporate Officer · since 2022
- Carlisle Taylor Whitworth 2020 Irrevocable Trust
Adp of The Snf · since 2019
- Dallas County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2019
- Darren Boswell
Adp of The Snf · since 2019
- Gary Scott Whitworth 2019 Irrevocable Trust
Adp of The Snf · since 2019
+ 7 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 25)
- D0880·Nov 26, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0760·Feb 27, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- E0880·Feb 27, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0812·Feb 27, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0727·Feb 27, 2025
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- D0690·Feb 27, 2025
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E0607·Feb 27, 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- E0755·Jan 16, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Fire-safety citations
13 Life-Safety-Code citations on file. Most recent: Feb 27, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Avir At River Valleyinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.